Heights University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SOLD LOCKG 4.0X38 222587

Facility

$540.70

Hospital Charge Code	270633662
Hospital Revenue Code	278
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$270.35
Rate for Payer: Aetna Commercial	$162.21
Rate for Payer: Aetna Medicare Advantage	$162.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.88
Rate for Payer: Cigna Commercial	$270.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.85
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

SCREW SOLID 4.5X23MM

Facility

$7,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270695209
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$3,987.50
Rate for Payer: Aetna Commercial	$2,392.50
Rate for Payer: Aetna Medicare Advantage	$2,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,033.62
Rate for Payer: Cigna Commercial	$3,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

SCREW SOLID 4.5X23MM

Facility

$7,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270695209
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$1,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

SCREW SOLID 4.5X25MM

Facility

$7,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270695210
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$1,929.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

SCREW SOLID 4.5X25MM

Facility

$7,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270695210
Hospital Revenue Code	278
Min. Negotiated Rate	$1,196.25
Max. Negotiated Rate	$3,987.50
Rate for Payer: Aetna Commercial	$2,392.50
Rate for Payer: Aetna Medicare Advantage	$2,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,033.62
Rate for Payer: Cigna Commercial	$3,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25

SCREW SOLID COMPRESS 4mm/36mm

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681408
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

SCREW SOLID COMPRESS 4mm/36mm

Facility

$6,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270681408
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

SCREW SOLID LOCK 3.5X14MM

Facility

$7,610.00

Service Code	HCPCS C1713
Hospital Charge Code	270698545
Hospital Revenue Code	278
Min. Negotiated Rate	$1,141.50
Max. Negotiated Rate	$3,805.00
Rate for Payer: Aetna Commercial	$2,283.00
Rate for Payer: Aetna Medicare Advantage	$2,283.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,940.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,940.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,522.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,940.55
Rate for Payer: Cigna Commercial	$3,805.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,841.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,141.50

SCREW SOLID LOCK 3.5X14MM

Facility

$7,610.00

Service Code	HCPCS C1713
Hospital Charge Code	270698545
Hospital Revenue Code	278
Min. Negotiated Rate	$1,141.50
Max. Negotiated Rate	$1,841.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,522.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,841.62
Rate for Payer: Qualcare PPO/HMO/WC	$1,141.50

SCREW SOLID LOCKING 3.5X16MM

Facility

$1,015.00

Service Code	HCPCS C1713
Hospital Charge Code	270698552
Hospital Revenue Code	278
Min. Negotiated Rate	$152.25
Max. Negotiated Rate	$245.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.63
Rate for Payer: Qualcare PPO/HMO/WC	$152.25

SCREW SOLID LOCKING 3.5X16MM

Facility

$1,015.00

Service Code	HCPCS C1713
Hospital Charge Code	270698552
Hospital Revenue Code	278
Min. Negotiated Rate	$152.25
Max. Negotiated Rate	$507.50
Rate for Payer: Aetna Commercial	$304.50
Rate for Payer: Aetna Medicare Advantage	$304.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$258.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$258.82
Rate for Payer: Cigna Commercial	$507.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.63
Rate for Payer: Qualcare PPO/HMO/WC	$152.25

SCREW SOLID NONLOCK 3.5X16MM

Facility

$1,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270698546
Hospital Revenue Code	278
Min. Negotiated Rate	$159.75
Max. Negotiated Rate	$257.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: Qualcare PPO/HMO/WC	$159.75

SCREW SOLID NONLOCK 3.5X16MM

Facility

$1,065.00

Service Code	HCPCS C1713
Hospital Charge Code	270698546
Hospital Revenue Code	278
Min. Negotiated Rate	$159.75
Max. Negotiated Rate	$532.50
Rate for Payer: Aetna Commercial	$319.50
Rate for Payer: Aetna Medicare Advantage	$319.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.57
Rate for Payer: Cigna Commercial	$532.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.73
Rate for Payer: Qualcare PPO/HMO/WC	$159.75

SCREW SOLID PEDICLE 5.5x30MM

Facility

$9,280.00

Hospital Charge Code	270658048
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$2,784.00
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x30MM

Facility

$9,280.00

Hospital Charge Code	270658048
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x35MM

Facility

$9,280.00

Hospital Charge Code	270658051
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$2,784.00
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x35MM

Facility

$9,280.00

Hospital Charge Code	270658051
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x40MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656134
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Aetna Commercial	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x40MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656134
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x45MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656136
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$2,784.00
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x45MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656136
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x50MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656139
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$2,245.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 5.5x50MM

Facility

$9,280.00

Service Code	HCPCS C1713
Hospital Charge Code	270656139
Hospital Revenue Code	278
Min. Negotiated Rate	$1,392.00
Max. Negotiated Rate	$4,640.00
Rate for Payer: Aetna Commercial	$2,784.00
Rate for Payer: Aetna Medicare Advantage	$2,784.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,366.40
Rate for Payer: Cigna Commercial	$4,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,245.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,392.00

SCREW SOLID PEDICLE 6.5x40MM

Facility

$8,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270665486
Hospital Revenue Code	278
Min. Negotiated Rate	$1,335.00
Max. Negotiated Rate	$2,153.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00

SCREW SOLID PEDICLE 6.5x40MM

Facility

$8,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270665486
Hospital Revenue Code	278
Min. Negotiated Rate	$1,335.00
Max. Negotiated Rate	$4,450.00
Rate for Payer: Aetna Commercial	$2,670.00
Rate for Payer: Aetna Medicare Advantage	$2,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,269.50
Rate for Payer: Cigna Commercial	$4,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00

Know your out-of-pocket cost for care.

All Charges